OrganizationActive
Tidewater Foot & Ankle Associates, Inc.
NPI 1629573217 · Foot & Ankle Surgery Podiatrist · Palm Harbor, FL
Provider details
- NPI number
- 1629573217
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Megan Johnson, Owner/ Physician(813) 925-9431
- License
- PO3663 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4168 Woodlands Pkwy Ste B
Palm Harbor, FL 34685-3496
Phone: (813) 925-9431
Approximate (ZIP-level) locationGet directions
Mailing address
4168 Woodlands Pkwy Ste B
Palm Harbor, FL 34685-3496
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.